GARY S OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

OLSON

Suffix

Business Name

GARY S OLSON MD

Original Issue Date

07/13/1983

Effective Date

07/13/1983

Expiration Date

07/31/1993

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006